| NPI | 1356899272 | 
|---|---|
| Doing Business As | DEE OLIVER | 
| Entity Type | Organization | 
| Authorized Contact | ALICIA MICHELLE HOWARD Credentialing 706-670-1080 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 251S00000X Community/Behavioral Health | 
| Enumeration Date | 2016-09-20 | 
| Last Update Date | 2023-02-10 |